HEATHER M SHAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113497

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SHAH

Business Name

HEATHER M SHAH

Original Issue Date

02/22/1996

Effective Date

02/22/1996

Expiration Date

03/31/2000

City

GOOD HOPE

State

Zip

61438

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005